| NPI | 1366765307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK OMOURYI Administer 713-878-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TX PA 0556) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208800000X Urology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-03-04 |